Table 2.
Organizational PHC models (n = 473) | Professional models |
Community model (n = 55) |
|||
---|---|---|---|---|---|
Single provider (n = 174) |
Contact (n = 68) |
Coordination (n = 104) |
Coordination integrated (n = 72) |
||
% of organizations | 36.8% | 14.4% | 22.0% | 15.2% | 11.6% |
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Vision | |||||
| |||||
V2 responsibility | Clientele* (83%) | Individuals who present* (44%) | Clientele* (88%) | Population* (26%) or Clientele (64%) |
Population* (31%) or clientele (69%) |
V3 organizational priority | Continuity > accessibility (84%) | Accessibility > continuity* (54%) | Continuity > accessibility* (89%) | Continuity > accessibility* (76%) | Continuity > accessibility* (95%) |
V6 financial return | More important (59%) | More important* (65%) | Less important (52%) | More important* (67%) | Less important* (93%) |
V7 team work | Less important* (91%) |
More important (50%) | More important* (74%) | More important* (88%) | More important* (75%) |
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Resources | |||||
| |||||
R1 size of clinics | Very small* (91%) | Average* (34%) or variable |
Small* (57%) | Large* (47%) | Large* (56%) |
R3 presence of other professional or specialist | None* (40%) | High* (81%) | High* (69%) | High* (76%) | Average* (56%) |
R6 information technologies | Very low* (45%) | Low or very low (70%) | Low or very low (62%) | High* (40%) | High* (49%) |
R7 technical platform | Very low* (78%) | High* (32%) | Average* (53%) | High* (24%) | Average* (82%) |
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Structure | |||||
| |||||
S1 governance | Professional private* (100%) | Professional private* (100%) | Professional private* (100%) | Professional private* (100%) | Public* (100%) |
S5 MD remuneration | Fee for services* (100%) | Fee for services* (100%) | Fee for services* (100%) | Fee for services* (100%) | Time based* (100%) |
S7 coordination of care (intraorganizational) | None* (93%) | Informal* (52%) | Informal* (58%) | Formal* (63%) | Formal* (65%) |
S8 collaboration with PHC | No (52%) | No* (69%) | No* (61%) | Yes* (88%) | No (53%) |
S9 collaborations with secondary care institutions | No (56%) | No* (68%) | No* (66%) | Yes* (86%) | Yes (62%) |
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Practices | |||||
| |||||
PZ mode of consultation | Mostly scheduled appointment* (82%) | Mostly walk-in* (69%) |
Mostly scheduled appointment (64%) | Mixed (24%) or variable | Mixed (25%) or mostly scheduled appointment (67%) |
PB role of the nurses | No nurse* (88%) | Limited* (27%) or no nurse (66%) |
No nurse* (75%) | Extended* (55%) | Extended* (82%) |
P7 scope of services | Narrow* (59%) | Narrow* (59%) | Broad* (47%) | Very broad* (47%) | Very broad* (69%) |
PH quality assessment | None* (100%) | More or less* (68%) | More or less* (66%) | More* (50%) | More* (67%) |
*P ≤ .05.